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COUNTY OF LOS ANGELES - AUDITOR CONTROLL
CHC10608-10 CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CENTRAL CITY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Central City Community Health Center - Baldwin Park #2
Type
HRSA-Funded Health Center
340B ID
CHC10608-10
Entity Address
4160 N. Maine Avenue
Ste. B1, B2, & B3
Baldwin Park, CA 91706
Grant Number
H80CS10608
Participating Start Date
7/1/2015
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
COUNTY OF LOS ANGELES - AUDITOR CONTROLL
Pharmacy Address
313 N FIGUEROA ST STE 1225
HEALTH SERVICES CENTRAL PHARMACY
LOS ANGELES, CA 90012-2602
Pharmacy Comments
Contract Details
Approval Date
4/13/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026
Contract Pharmacy Representative
DHS
Shane D'Souza, Pharmacy Services Chief II
(213) 240-7717
Signed By Date
4/13/2017
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